Bronquitis

  • November 2019
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Bronquitis : tratamiento según gravedad EPOC

VEF1

NO

>50%

Leve

>50%

Patógenos más frecuentes

Estudios

Tratamiento

Lugar de atencion

Viral

NO Requiere

SINTOMATICO No requiere antibioticos

Ambulatorio

Micoplasma B.Pertusis

S.pneumoniae H.influenzae M.catarrhalis C.pneumoniae

NO Requiere

35-50%

S.pneumoniae H.influenzae M.catarrhalis Enterobacterias

Rx Torax Ex. esputo (opcional) Sat O2 Peak-flow

Grave

< 35%

S.pneumoniae H.influenzae Enterobacterias

Rx Torax Ex. esputo No hemocultivo Sat O2 Peak-flow Hemograma Na

+

Ambulatorio

Claritromicina 500 mg c/12 hs VO

Moderada

P.aeruginosa

Amoxicilina/clavulanato – Oral Amoxicilina/sulbactam – Oral

Amoxicilina/clavulanato – Oral Amoxicilina/sulbactam – Oral Claritromicina 500 mg c/12 hs -Oral

Levofloxacina 500 gr c/24 hs – IV o Oral ó Ampicilina/sulbactam + Ciprofloxacina 1,5 gr c/6 hs IV 200 mg c/12 hs IV ó Cefepima 2 gr IV c/12 hs IV

Ambulatorio Int. breve o domic Hidratacion Oxigenoterapia Humidificacion, Kinesioterapia Soporte nutricional Broncod/cortic Idem mas Necesidad de UTI y ARM

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